Transcript Highlights:

• still about $1.85 billion in that that fund, we draw from that to pay for the buy-down or the the reduction
• And how are y'all doing on vacancies within the agency? That's a good question.
• So, over... the last few months, we've really stressed hiring vacancies.
• Vacancies are always a challenge. challenge in the state agency environment, but we've done very well

Keywords: 1184, house, all

Transcript Highlights:

• Members, 1794 creates the Oklahoma Behavioral Health Vacancy Registry Act.

Bills: SB1421, SB1427, SB1484, SB1503, SB1553, SB1557, SB1564, SB1566, SB1567, SB1591, SB1642, SB1794, SB1837, SB2044

Keywords: mental health, nonphysical intervention, training, youth care, conflict resolution, staff training, pediatric screenings, type 1 diabetes, health care providers, parental consent, reimbursement, state funding, public health, medicolegal investigation, medical examiner, coroner, sudden infant death syndrome, SIDS, sudden unexpected infant death, SUID

Transcript Highlights:

• And over the last 4 years, we've seen a 31% reduction in the number of children entering foster care.
• Health services resulting in a decrease in Baker Act admissions and a reduction in the number and percent
• We need to fill all vacancies, right?
• And so we have a 90 day plan and a six-month plan in terms of shoring up vacancies to make sure we are

Keywords: 999, senate, all

Transcript Highlights:

• Currently, we have about 681 teacher vacancies statewide.
• This represents about a 3% vacancy rate. Of those teachers, 505,297 are first-year teachers.
• A couple of questions, Sunny: the teacher vacancy rate in 2021. Do you happen to know what it was?
• The teacher vacancy rate looked really like it was much lower.
• There really are reductions in the Department of Education employees and in technical assistance.

Transcript Highlights:

• We currently have about a 15% vacancy rate across all of those programs within the division.
• We currently have about a 15% vacancy rate across all of those programs within the division.
• unfilled we have about a 15% vacancy unfilled we have about a 15% vacancy rate<00:20:52.480>
• you could post 100 positions vacancies you could post 100 positions um<00:26:03.120> we<00:26
• It's up on 29 Hazen Drive. vacancy rates those are either vacancy rates those are either established<

Keywords: 928, house, all

Summary: The Finance Division III work session focused on the Department of Health and Human Services’ Division of Public Health Services budget. Department staff said Public Health has a relatively small budget compared with other DHHS divisions, is supported mostly by federal and other non-General funds, and contains nearly 100 accounting units and more than 50 federal grants. They emphasized that the governor’s budget did not include significant cuts, but that federal funding uncertainty and the winding down of pandemic-era resources were major factors affecting the division. The division also explained that some apparent budget growth reflects reorganizations, including moving the Bureau of Emergency Preparedness, Response, and Recovery and some programs from other DHHS divisions into Public Health. The presentation described Public Health’s mission as serving the entire state through food and water safety, disease surveillance, emergency response, maternal and child health, chronic disease prevention, WIC, community health center support, and public health data collection. Members asked about bird flu, and staff explained that human-health response would involve Public Health’s lab, infectious disease, and emergency preparedness units, while animal-health issues are handled with the Department of Agriculture; they also noted ongoing milk testing requested by FDA and USDA. The division said its organizational structure includes bureaus for Family Health and Nutrition, Infectious Disease Control, Public Health Protection, Emergency Preparedness, Prevention and Wellness, Statistics and Informatics, and Public Health Laboratories, with about a 15% vacancy rate. Committee members questioned whether the division’s budget and staffing had really grown since pre-COVID, and staff responded that full-time authorized staffing is about the same as in 2018, with the increase largely due to federal pandemic funding that has since receded and to program transfers between divisions. They said Public Health’s General Fund share is about $24 million out of roughly $1.1 billion in DHHS General Fund spending, or about 2.2% of the department total. Members also asked about the 3,000-position cap and unfunded positions; staff explained that the cap remains in chapter law through June 30, 2025, that 394 positions were unfunded in the governor’s budget, and that the division expects flexibility to move money from personnel lines and fill unfunded positions to manage changing needs. No votes or formal actions were taken in this portion of the work session.

Transcript Highlights:

• Within the environmental silo, this includes reductions in excess federal budget authority and a reduction
• These reductions are achieved through efficiencies gained and strategic investments.
• A few examples include reductions due to the consolidation of service contracts for equipment leases,
• This has led to an increase in turnover and vacancies.
• And if so, why was there a reduction in that grant program? Thank you for the question.

Summary: The committee first took up confirmation of five water management district appointees: Ted Everett and Jerome Pate to the Northwest Florida Water Management District, Michael Romano to the Big Cypress Basin Board of the South Florida Water Management District, and Paul Bissfam, John Hall, and Virginia Johns to the Southwest Florida Water Management District. Senator McClain moved confirmation, the roll was called, and the committee recommended all appointees favorably. Members then received the Governor’s Florida First budget presentations for environmental agencies. The environmental package totaled about $5.8 billion and emphasized Everglades restoration, water quality, resilience, land conservation, state parks, hazardous waste cleanup, wildlife management, wildfire response, and citrus support. DEP highlighted more than $1.4 billion for water resources, including $810 million for Everglades restoration, $202 million for Resilient Florida, $150 million for Florida Forever, $70 million for state parks, and $221 million for contamination cleanup. FWC, Agriculture, and Citrus funding priorities were also outlined. Members asked about Florida Forever funding, state park wastewater and septic needs, a reduction at the Florida Wildlife Research Institute, and beach renourishment funding for storm damage. The committee also heard the General Government portion of the budget, which totaled about $2.9 billion and covered DBPR, Lottery, Financial Services, Management Services, Revenue, PERC, and the Gaming Control Commission. DBPR requested funds for license processing, an animal abuse hotline, fleet replacement, and IT retention. FGCC sought new enforcement squads and an IT licensing/enforcement system. The Lottery proposed marketing, retail engagement, IT, and retention funding. DMS emphasized building modernization, fleet telematics, 911 and radio upgrades, cybersecurity, a local government cybersecurity grant program, and data interoperability. PERC described a sharp increase in labor cases and elections after SB 256 and requested staffing, election administration, and hearing officer pay increases. DFS highlighted My Safe Florida Home, fire marshal and first responder support, financial investigations, and gold and silver legal tender implementation. Revenue requested operational and IT funding and support for fiscally constrained counties. Questions focused on DBPR’s condo and HOA initiatives, cybersecurity grant reductions, and the My Safe Florida Home program’s abandoned grants and matching requirements. No additional votes were taken, and the committee adjourned.

Bills: SB2060, SB2342, SB2577, SB2580, SB2809, SB2397, SB2315, SB2442, SB2152, SB2380, SB2462, SB2055, SB2438, SB2533, SB2203, SB2087, SB768, SB877, SB1139, SB787, HB963, SB277, SB2663, SB2555, SB2140, SB2115, SB2761, SB2198, SB2032, SB2579, SB2671, SB2835, SB2356, SB2095, SB2093, SB2318, SB2323, SB2485, SB2309, SB2321, SB2405, SB2153, SB2129, SB2170, SB2259, SB2578, SB2544, SB2701, SB2861, SB2108, SB2089, SB2106, SB847, SB3326, SB2047, SB2695, SB2667, SB2919, SB2446, SB2146, SB2723, SB2210, SB2527, SB2645, SB3331

Keywords: rental housing revolving fund, HHFDC, Hawaii Housing Finance and Development Corporation, mixed-income housing, mixed-income rental project, affordable housing, low-income housing, housing finance, housing development, preservation, rehabilitation, pre-development, construction financing, equity investment, credit enhancement, collateral, gap financing, area median income, AMI, perpetual affordability

Transcript Highlights:

• It directs the FHFC to establish and oversee the vacancy relief and risk mitigation trust fund, as well
• intake, reviewing documentation, and verifying claims to ensure proper local administration of the vacancy
• intake, reviewing documentation, and verifying claims to ensure proper local administration of the vacancy
• Senate Bill 1604 creates the vacancy relief and risk mitigation trust fund within the Florida Housing
• We do have to do the fraud reduction for SNAP so that we don't lose the money.

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.

Transcript Highlights:

• State Senate vacancies. partisan uh banner. partisan uh banner.
• vacancy occurs, especially when the term of the vacant office is relatively long.
• with special elections when vacancies with special elections when the<01:14:22.480> vacancy<01
• a shortage of about 6 to 700 vacancies a shortage of about 6 to 700 vacancies in<01:51:00.080> the
• This amends the process for addressing party candidate and state senate vacancies.

Keywords: 912, senate, all

Summary: The Judiciary Committee heard testimony on Senate Bill 2246, which would expand public financial disclosure requirements. The State Ethics Commission strongly supported the bill, saying broader disclosure could help restore public trust and potentially deter corruption, and it offered a clarifying amendment to make clear the requirement applies to board and commission members rather than all employees of listed agencies. Several organizations and individuals also testified in support. A committee member asked about the amendment, and the commission explained it was intended as a clarification rather than a substantive change. The committee then took up Senate Bill 2250, which would add homeless facilities to the locations covered by the drug-free-zone offense for promoting controlled substances. The Public Defender opposed the measure, arguing that many homeless facilities are unmarked and not easily identifiable, creating notice, fairness, and due process concerns and risking arbitrary enforcement. The Honolulu Prosecutor’s Office and Honolulu Police Department supported the bill, saying it targets distributors rather than users, that notice can be proven through evidence, and that the law is aimed at protecting vulnerable people in shelters and similar facilities. In questioning, senators asked how homeless facilities would be identified and whether the bill would cover all shelter models; the prosecutor said the definition is cross-referenced in statute and must be proven beyond a reasonable doubt. The Drug Policy Forum of Hawaii and other groups testified in opposition, while several service and advocacy groups testified in support. Finally, the committee heard Senate Bill 2325, which would allow courts to review and potentially reduce sentences for certain juvenile offenders after 15 years if the person is not a danger to the community. Judiciary staff said the court supports the bill’s intent but noted Hawaii’s indeterminate sentencing structure leaves no alternative sentence for a court to reduce to, suggesting the measure may need structural sentencing changes or could instead be directed to the Hawaii Paroling Authority. Public defender representatives and youth-justice advocates supported the bill, emphasizing rehabilitation, adolescent brain development, trauma, and the need for a meaningful opportunity for release. No votes or final committee actions were taken during the portion of the hearing provided.

Transcript Highlights:

• that are leading to declining revenues for affordable housing providers, such as loss of rent and vacancy
• loss<00:03:48.640> of<00:03:48.799> rent<00:03:49.040> and<00:03:49.239> vacancy
• c><00:03:49.680> issues<00:03:50.599> and<00:03:50.720> the loss of rent and vacancy
• That remaining 6% of profit needs to cover your monthly principal reduction and any long-term capital
• and any long-term principal reduction and any long-term Capital<00:18:49.480> Improvements<00

Keywords: 1187, senate, all

Transcript Highlights:

• We need more money in the harm reduction.
• outpatient we represent harm reduction outpatient we represent harm reduction we<00:22:40.559>
• <00:23:45.039> we need more money in the harm reduction we need more money in the harm reduction
• funding for harm reduction Department of funding for harm reduction Department of Health<00:55:23.880
• <01:37:27.920> and would be moved to fill our vacancies and would be moved to fill our vacancies

Keywords: 910, house, all

Summary: The Public Safety Committee held a hearing on House Bill 433, which would appropriate $4 million for Department of Corrections and Rehabilitation re-entry services to connect offenders with community-based services. Director Tommy Johnson said the department supports the bill’s intent but noted the governor’s executive budget already includes $4 million for the same purpose and asked that the measure defer to that budget. Supporters, including the Hawaii Correctional System Oversight Commission, Community Alliance on Prisons, and the ACLU, backed the funding but urged that it be tied to a clear re-entry plan, performance measures, transparency, and regular reporting to the legislature. They emphasized that re-entry should begin at intake and involve community partnerships, housing, treatment, employment, and family reunification services. Committee members questioned the department about current re-entry services, pre-trial detainees, and how the new funds would be used. Johnson said the department’s current statewide re-entry budget is about $1.5 million to $1.7 million, separate from the larger Corrections Program Services Division budget for in-facility programs. He described the proposed $4 million as supporting a mix of services, including a pilot apprenticeship program, substance abuse treatment, navigator or warm-handoff services, and short-term transitional housing. He also said the department already tracks performance outcomes in its annual report and can provide a matrix showing the intake-to-discharge process, program contracts, and volunteer organizations. The discussion also covered pre-trial detainees, electronic monitoring, and mental health services. Johnson said the department has limited jurisdiction over pre-trial detainees but works with courts to seek supervised release when possible; he noted that many requests are denied, though electronic monitoring has improved release rates somewhat. On mental health, he said the jail is not an ideal therapeutic setting for people found unfit to proceed and suggested a secure community-based step-down facility run by the Department of Health for those needing care above what the jail can provide but below forensic-level treatment. No vote or final action on the bill was taken during the hearing.

Transcript Highlights:

• 67 positions so we have 114 vacancies 67 positions so we have 114 vacancies right<00:15:55.160><
• Listen for your vacancy report.
• Why not redescribe the vacancies?
• <00:33:00.799> and positions together the vacancies and positions together the vacancies and
• <00:33:14.159> have about it and they have vacancies have about it and they have vacancies

Keywords: 912, senate, all

Transcript Highlights:

• Two years ago, following the reforms, we saw a reduction in the cost of reinsurance on a risk-adjusted
• Reinsurance costs are passed directly onto consumers, so if you see that reduction, you would see that
• And that is on top of significant rate reductions across the entire private passenger auto space.
• We're seeing substantial post-reform reductions taking place in one case with just one company to the
• When I started, we had close, we had over, I think, a 40% vacancy rate system-wide salary.

Summary: The Senate Committee on Banking and Insurance convened with a quorum present, and Commissioner Michael Yaworsky of the Office of Insurance Regulation delivered a broad update on Florida’s property insurance market. He outlined the division of responsibilities between OIR and the Department of Financial Services, then reported market indicators including 7.61 million residential policies in force, an average premium of $2,755, 1.5 million Citizens takeout approvals, and recent negative trends in homeowners rate requests. He credited recent legislative reforms, especially tort reform and the Insurer Accountability Act, with improving market stability, increasing competition, and allowing the office to conduct more examinations and investigations, recover consumer restitution, and fine insurers for misconduct tied to recent hurricanes. Yaworsky emphasized that Citizens Property Insurance has been rapidly depopulating from its 2022 peak and may fall below 300,000 policies, while cautioning that over-depopulation could create residual-market risks and assessments if a major storm hits. He also discussed the distinction between admitted and surplus lines markets, the role of reinsurance in Florida pricing, and the effect of inflation on total insured values and premiums. He said Florida has seen comparatively modest property rate increases relative to other states and noted that recent hurricanes did not produce the kind of rate spikes seen in prior years, which he attributed to a more stable market and reduced fraud and litigation pressure. In response to a question from Senator Martin, Yaworsky explained that California’s wildfire crisis and regulatory structure are not a direct one-to-one comparison for Florida, but that California’s market problems can affect global reinsurance capacity and serve as a cautionary example of regulatory missteps. He also highlighted a recent Progressive auto insurance excess-profits refund of about $1 billion to policyholders, discussed possible federal changes to the National Flood Insurance Program, and urged greater home resiliency and code-plus adoption. The commissioner closed by calling for clearer consumer disclosures and responsible oversight of AI use in insurance filings. No bills were considered and no votes were taken; Senator Hooper moved to adjourn, and the committee adjourned without objection.

Transcript Highlights:

• When talking with staff, we do know that they have more than 170 vacancies.
• Of those 170 vacancies, 100 of them are in child welfare.
• But still, based on that fiscal, and even with those reductions, it's a significant cost to the state
• But still, based on that fiscal, and even with those reductions, it's a significant cost to the state
• And if they don't return to work, we do see a reduction in nursing home placement and other long-term

Bills: SB83, SB135, SB143, SB155, SB157, SB202, SB237, SB261, SB276, SB295, SB450, SB465, SB506, HB1070

Keywords: human trafficking, trafficking prevention, school safety, public schools, elementary and secondary education, charter schools, mandatory reporting, victim identification, victim services, child trafficking, sex trafficking, labor trafficking, commercial sexual activity, DCFS, Department of Children and Family Services, Louisiana State Police, governor's office of human trafficking prevention, counselor training, mental health professional, administrator training

Transcript Highlights:

• And then we use that data for community risk reduction to make sure that we're able to identify trends
• That data for community risk reduction to make sure that we're able to identify trends that are out within
• falsehoods to the contrary, the additional six positions in the ombudsman's office were filled during his vacancy
• The additional six positions in the Ombudsman's office were filled during his vacancy period, and such
• We had a vacancy in the chief data officer role for quite some time, for about a year.

Summary: The subcommittee heard presentations from the Department of Financial Services and the Department of Business and Professional Regulation, then returned to its ongoing budget workshop with the Department of Management Services. DFS’s Division of Risk Management described its role as the state self-insurance fund, covering about 200,000 employees and 27,000 vehicles, paying roughly $150 million in claims last year, and managing a pilot ETS treatment program for veterans and first responders that had 49 patients and 804 treatments as of the latest report. The Division of State Fire Marshal outlined its fire prevention, training, emergency response, and grant programs, including hurricane deployments, the Florida State Fire College, and several capital and grant requests for roof, courtyard, memorial, and equipment needs. The Division of Rehabilitation and Liquidation explained how it handles insolvent insurers under Chapter 631, currently administering 14 estates with $1.2 billion in assets and $3.7 billion in liabilities, and said no new receiverships had been opened since February 2023. Members asked about grant backlogs, fire truck procurement delays, memorial repairs, and whether affiliate transfers were occurring in insurer liquidations. Secretary Griffin then updated the committee on DBPR’s implementation of House Bill 1021 on community associations. He said the department had used the new authority to expand education, complaint handling, and ombudsman services, including 10 free standardized courses, a new condo website, and a four-hour board certification course that had already drawn more than 12,000 attendees. He reported that outreach to condominium communities had increased by more than 60%, that complaint filings were up 39% while jurisdictional dismissals dropped to 11%, and that about 81% to 82% of the 65 new positions had been filled. Members pressed him on whether the department had enough authority and funding, how condominium counts are determined, how self-reported structural integrity reserve study data is verified, and whether more public-facing complaint tracking and better reporting from local governments or developers would improve the system. The committee then resumed questioning Secretary Allende of DMS about outstanding budget and operations issues. Members focused on the delayed People First contract extension required by statute, with the secretary saying the delay involved technical and contractual complexity in moving a legacy hard-coded system to the cloud. They also revisited the state data team and data catalog project, asking why a statutory 2022 deadline had not been met, how the four-person team and broader data staff were organized, how many applicants were considered for key positions, and what each role was doing. The secretary said the catalog work was being simplified into six metadata fields and supported by a broader community of practice, but no firm completion date was given during the exchange.

Transcript Highlights:

• We even had to add an extra decimal to show that there's only a reduction of 0.02 percent.
• The reason why there's a reduction, including homesteads, is because the state's paying for it.
• We do have several vacancies right now.
• I think we have six vacancies that we are attempting to fill in our auditor positions. We do.
• Vacancies can take months.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The Senate Finance Committee held its first hearing of the 89th regular session, adopted nearly identical committee rules from the previous legislature by a 15-0 vote, and began review of Senate Bill 1, the state budget for fiscal years 2026-27. Chair Huffman outlined the budget framework, emphasizing conservative spending, a $332.9 billion all-funds budget, and major priorities including property tax relief, public education, border security, health and human services, transportation, energy, and water infrastructure. She also introduced committee and leadership staff and described the hearing schedule and public testimony procedures. Comptroller Glenn Hager presented the biennial revenue estimate, saying the state has $194.6 billion available for general-purpose spending, including a $23.8 billion ending balance, but warned that revenue growth is returning to more normal levels and that lawmakers should avoid using temporary spikes for ongoing commitments. Senators questioned him extensively about the Economic Stabilization Fund cap, sales tax trends, inflation, and whether the state should consider raising the cap or using severance-tax revenues differently. Hager said the Rainy Day Fund is expected to hit its cap, which would leave more severance-tax revenue in general revenue, and he stressed that infrastructure needs remain significant. The Legislative Budget Board then gave a detailed overview of SB 1 and the budget’s major components. LBB staff explained that the bill includes continued funding for the Foundation School Program, $850 million for the Texas State Technical College endowment, $1.3 billion for the Texas University Fund, $6.5 billion for border security, salary increases for correctional officers and state troopers, $3 billion for dementia research, higher community attendant wages, expanded community-based care, $5 billion for the Texas Energy Fund, and funding to clear volunteer fire department grant backlogs. They also outlined supplemental priorities such as water infrastructure, retirement legacy payments, rail grade separations, wildfire aircraft, and emergency facilities, and said the current controlling budget limit is the tax spending limit. A major portion of the hearing focused on property tax relief. LBB explained that prior-session relief grew from an expected $18 billion to $22.7 billion because of higher-than-anticipated property values and interactions among hold-harmless provisions, and that SB 1 continues and expands relief with $51 billion in total property tax relief, including $3 billion more for compression, $3 billion to raise the homestead exemption from $100,000 to $140,000, and a $500 million placeholder for business tax relief. Senators discussed the automatic nature of some of these costs, the effect of the non-homestead circuit breaker, the role of federal COVID funds, and the need to maintain school finance commitments if the state continues to compress school tax rates.

Transcript Highlights:

• rate of 37% with an LNA vacancy, licensed nursing assistant, of 44%.
• rate of 37% with an LNA vacancy, licensed nursing assistant, of 44%.
• rate of 37% with an LNA vacancy, licensed nursing assistant, of 44%.
• rate of 37% with an LNA vacancy, licensed nursing assistant, of 44%.
• with that sensus or with that uh vacancy with that sensus or with that uh vacancy rate<05:12:42.878

Keywords: 928, house, all

Summary: The committee heard a Department of Corrections capital budget presentation on HB 25, focused largely on urgent maintenance and security needs at the New Hampshire State Prison for Men and other DOC facilities. DOC officials described the governor’s proposed priorities: boiler surge and radiator tank replacements, electronic controls and camera upgrades, and replacement of HVAC units using R22 refrigerant. They also outlined additional requested projects totaling $15.4 million, including a body alarm/man-down system at Northern New Hampshire Correctional Facility, steam line and trap repairs, fire alarm replacements, and removal of an underground diesel tank in favor of above-ground storage. DOC testified that many systems are well beyond their expected service life, including 40-year-old boilers, outdated analog cameras, and HVAC equipment using discontinued R22 refrigerant. They said the men’s prison is relying on a leased temporary boiler, has significant steam leaks causing major water loss and reduced boiler efficiency, and is dealing with frequent fire alarm faults and deteriorating wiring. On the body alarm system, they said the vendor no longer supports the equipment and replacement parts are no longer available. On the diesel tank, members questioned whether it could be abandoned in place or whether fuel could be reused; DOC said it had not explored all alternatives and would follow up, while noting the tank is underground and tied into the warehouse system. Members also asked whether some current investments could be reused in the planned new men’s prison. DOC said some items, such as air handlers, might potentially be moved, but most projects are needed to keep the current facility operational and would not be practical to transfer. Questions were also raised about the leased boiler arrangement, the use of the man-down system by staff and visitors, and whether the kitchen project could be converted to a modular unit. DOC said the modular kitchen approach is necessary because the existing kitchen cannot remain fully operational during repairs. The committee then moved to lapse extensions, and DOC identified several projects no longer needing extensions, including items numbered 64, 65, and 66 in HB 25, with the chair noting those balances would be deleted and that the lapse amount was $550,500.

Transcript Highlights:

• The 11 vacancies, are they spread across, or what's the makeup of the 11 vacancies?
• We're definitely concerned about the hospitals, um, especially our rural hospitals, but any reduction
• rural hospitals, but any any reduction rural hospitals, but any any reduction in<00:21:26.840>
• > benefits,<00:21:27.360> any<00:21:27.520> reduction<00:21:28.080> in<00:21
• :28.680> uh in benefits, any reduction in uh in benefits, any reduction in uh provider<00:21:29.240

Keywords: 958, all

Summary: The Budget Review Subcommittee for Health and Family Services met for its first meeting, established quorum, and heard a presentation from Department for Medicaid Services Commissioner Lisa Lee and CFO Steve Becktold. The department reviewed its compliance with House Bill 695, which requires legislative approval before certain Medicaid eligibility, service, benefit, or waiver changes, along with fiscal impact reporting to the Legislative Research Commission. They described current waivers, including home and community-based waivers, managed care and transportation waivers, and the 1115 re-entry waiver, and said the community engagement waiver is in public comment and on track for submission to CMS. They also said required reports and other HB 695 tasks, including a pharmacy rebate fund, budget analyses, expenditure reports, and a behavioral health scorecard, are underway or completed as required. The CFO outlined Medicaid’s budget, saying the department has two appropriation units and projecting near-full use of state funds while leaving some federal funds unspent because of matching-rate differences. They reported roughly 211 filled positions and 11 vacancies. Members asked about the vacancy makeup, the behavioral health scorecard, and whether a provider involved in quality metrics could have a conflict if used in the scorecard process; the department said it would follow up. Members also asked about the community engagement waiver and its interaction with federal policy, and the department said CMS guidance is still pending and that it will proceed under HB 695. A substantial portion of the discussion focused on federal Medicaid policy changes under a reconciliation bill, including possible limits on provider taxes, directed payments, cost-sharing, and community engagement requirements. Department officials said the final federal impact is still uncertain because the Senate bill is not finalized, but they have modeled several scenarios and warned that any reduction in federal support or benefits would be harmful, especially for hospitals and rural hospitals. They estimated Medicaid benefits are funded about 80% federal and 20% state overall, with expansion populations closer to 90% federal funding, and said administrative costs would also rise if federal requirements change. Members also asked about work requirements and eligibility. The department said the community engagement waiver would mainly affect the expansion population, which they estimated at about 450,000 people out of roughly 1.5 million total Medicaid enrollees, and that many groups are exempt, including children, the aged, blind, disabled, and people in substance use disorder treatment. Officials said they can provide data on how many enrollees are working or work-ready and explained that their eligibility system is designed to prevent duplication by automatically placing people in the correct category and correcting errors quickly. They also noted a federal proposal to require expansion eligibility reviews every six months, compared with current annual renewals.

Transcript Highlights:

• In New Mexico, we are still experiencing a lot of vacancies at the county level, certainly in public
• Reduction in the SRS, the Secure Rural Schools.
• the state heard our plea when we found out that—not that we advertise it—but we sometimes had 40% vacancies
• We still could use help with those types of really Critical public safety vacancies.

Transcript Highlights:

• Since the HPV vaccine vaccine became available for use in 2006, there has not been a demonstrable reduction
• As of September of 2023, there are 130 faculty vacancies and LVN programs, 4. 72 vacancies in RN education
• programs and 129 faculty vacancies in graduate nursing education programs.